HomeMy WebLinkAbout39552-Z gUFEOt,�%,, Town of Southold 2/10/2016
t'3� P.O.Box 1179
17:1
o ti 53095 Main Rd
y,111 �0 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38088 Date: 2/10/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1970 Arrowhead Ln, Peconic
SCTM#: 473889 Sec/Block/Lot: 98.-2-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/24/2015 pursuant to which Building Permit No. 39552 dated 2/24/2015
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Meyer,Barbara
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39552 01-27-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
t4SVF �
Eoaeo�. BUILDING DEPARTMENT
TOWN CLERK'S.OFFICE
"10\.4, ,FpSOUTHOLD, NY
tit
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 39552 Date: 2/24/2015
Permission is hereby granted to:
Meyer, Barbara
42 Morris Rd
Woodbridge, CT 06525
To: underground 200a electric service.
At premises located at:
1970 Arrowhead Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 98.-2-14.1
Pursuant to application dated 2/24/2015 and approved by the Building Inspector.
To expire on 8/25/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
leo, -F
.01
Town Hall Annex �� ® : Telephone(631)765-1802
54375 Main Road *% Fax(631)765-9502
P.O.ld, Box 1179 ,`� roger.richert@town.southold.ny.us
Southold,NY 11971-0959 ®��Y E y; ---` C
0OU ,� 0•
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Meyer
Address: 1970 Arrowhead Land City: Peconic St: New York Zip: 11958
Building Permit#: 39552 Section: 98 Block 2 Lot 14.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini Electric Inc. License No• 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "New 200A Underground Electric Service"
Notes:
Inspector Signature: * Date: January 27, 2016
Electrical 81 Compliance Form xls
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Town Hall Annex , Telephone(631)1)765-1802
16 5-11 8 0 2 _
54375 Main Road ` max(631}7uth5 If!
P.O.Sox 1179 `\4s - - Q �� roger richert townso o .nv.us
Southold,NY 11971-0959 ; lip ``'' )/
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
- :REQUESTED BY:
A4{.,I/ ,J` lo,Azzt;.,. ,9:. Date: al_/9_/5•
Company Name: ,�<or.,27,... i/--/ -,• ile - �.-
Name: -
License No.: .iyi7_/„�l .
Address: I ; .
Phone No.: . - -
JOBSITE INFORMATION: (*Indicates required information)-
_
*Name: Ave.( ,, e e /
*Address: 197o 4,,,,,,,A,/ /-Ar` - �G'"(_. z,f C C--
*Cross Street
*Phone No.:
Permit No.:
.
``)) C) 5-5-a.
Tax.Map District 1000 _ Section: Block: Lot Mr
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) . - �z� 0,70.‘7 - „3_,I, •
0,4113/.,,.....-11 >;'/i,'C f'
•
(Please Circle All That Apply)
*Is job ready for inspection: 62/ NO - Rough In Final
*Do-you need a Temp Certificate: dir: ! NO -
1
Temp information(If-nee ed) • •
*Service Size: 1 Pha.e 3Phase 00 150 C 300 350 . 400 Ot, -r .
*New Service: - '•nnect ndergro d Number of Meters Change of Service Ov- ' ead
Additional Info . n: PAYMENT DUE WITH APPLICATION -
I ,x'?, A7 , Y,'
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2 u�.: for inspection Form30,1 9// 1 ��
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